1. WHO WE ARE 2. WHAT WE HAVE DONE 3. AN EXAMPLE OF ROI – IMPLEMENTATION OF THE UNITED COMMUNICATION
ASL NAPOLI 2 NORD
10/8/2014 2
1. WHO WE ARE: ASL NAPOLI 2 NORD
3
SURFACE AREA : 411,43 Kmq
POPULATION : 1.045.790 citizens
CITIES: 32
HEALTH DISTRICTS: 13
DEPARTMENTS: 6
HOSPITALS: 5
RESIDENCE FOR THE ELDERLY: 2
INVESTMENT EXPENSES ARE JUSTIFIED BY ITS COSTS?
COST - EFFECTIVENESS (outcomes assessment
in natural units of health benefit)
COST – BENEFITS (outcomes assessment
in monetary terms)
I.C.T. balanced scorecard (BSC)
Financial
Learning & growth:
Customer: Process & People:
The total cost of the ICT
system is commensurate
with that produces on
the company's
management ?! Processes, management and
internal resources are tailored to the needs
of the company ?!
Approach adopted
- LEGACY - INFRASTRUCTURES - TECHNOLOGIES - RESOURCE - ICT MANAGEMENT
NEW APPLICATIONS
- BPR - SISTEMI LEGACY - APPLICAZIONI WEB
ADJUSTMENT OF INFRATRUCTURES, SKILLS AND MANAGEMENT OF ICT
ICT DEVELOPMENT PLAN: PROGRAM & CHANGE MANAGEMENT
QUICK WINS
Construction of an ICT strategic plan
strongly connected to business needs,
characterized by a high level of expected
efficiency and effectiveness of the
investment required Progetti in corso
Strategia ICT
Vision e processi
ICT Strategic Plan
“e-propositions”
ICT Architecture of reference
Evaluation State of art
Summary Positioning Technology - application diagram
Directional Area
Intranet Portal of Services – Central Reservation Service
Infrastructural Area
External bodies
SOGEI
Disaster recovery In cloud Connettivity – adapters – HL7 – Web Services
Repository / PHR - Documentum Register of assisted - MS CRM
Region
INPS
INAIL
Regional bodies
other P.A.
Administrative Area Hospital Area Territorial Area
Management Control Administrative
Datawarehouse
Cespiti ed inventario
Ordini beni sanitari
Gare appalto
Sale operatorie
Consultorio familiare
Igiene ambientale
Contabilità generale
Controllo Fatturaz.
Paghe Rilevazione
presenze
Magazzino economale
Gestione risorse umane
Gestione ADT
CUP Interno
RIS / PACS
Pronto soccorso
Sistema Cuprecall
Visite fiscali
Cure paliative
Vaccinaz. Riabilitaz. Protesica
Assistenza socio sanit.
Smart ADI
Medicina legale
SIEM – DAM Log accessi
ESB Documentum
Protocollo Workflow
WEB Mail
ICT Asset inventory
Proxy e Antivirus
Help Desk
Reporting SLA
Trouble Shooting
Ordini beni Non sanitari
Controllo SDO
Sanitary Datawarehouse
Management Dashboard- MD
Asset Inventory
Contabilità intramuraria
SMART C6 (Malattie)
Laboratorio analisi
Gestione Accreditam.
Anatomia patologica
PUA
Sceening oncologico
Visite ispettive
DWH Flussi farmacie
Affari legali
3. WHAT WE HAVE DONE NEW DATA PROCESSING CENTER - HW TODAY (2013)
• ONE PROCESSING SYSTEM SIZED FOR THE NEXT 10 YEARS • A COMPLEX STORAGE SYSTEM FOR ALL KIND OF NEEDS (SAS SATA SSD DISK) • PROCESSING CAPACITY THAT ADAPTS TO THE PREVAILING • REDUCED COST OF POWER SUPPLY
VIRTUALIZATION SCHEMA
VMware vSphere
Compute Storage Network
Servizi per le Applicazioni
Scalabilità Sicurezza Disponibilità
Servizi per le Applicazioni
Vshield Zones VmSafe
DRS Hot Add
Vmotion Storage vMotion HA Fault Tolerance Data Recovery
ESX e ESXi DRS e DPM Memory Overcommit
VMFS Thin Provisioning Storage I/O Control
Distribuited Switch Network I/O Control
VMware vCenter Suite
Cluster A.D. Cluster Applicazioni ASL Cluster Exchange Cluster Lync
OUR INFRASTRUCTURE NETWORK DATA
DPC
MPLS
PRIVATE CLOUD
INTERNET
PCS
Two separate way for network data exchange
MEDICAL CARE MODELS
HOSPITAL
(HUB)
SPOKE 1
SPOKE 2
Proposed Model
• High-tech specialist hospitals • In-mobility medical care • Population screening in the field to
increase knowledge and prevent • Continuous medical education and
training • Health care planning and control to
predict and organize effective response • High modularity to develop and roll-out
the global medical care
Current Model
• Often complex and large hospital infrastructures
• High management costs and capital investments
• Difficult territory reach
• Hospital beds often used to care for chronic old patients
• Long waiting times for specialist exams
• No economies of scale
Patients
Hospital
Medical Care
Patients
EXAMPLE OF ROI: THE UC PROJECT
2009
PUBLIC PHONE
PUBLIC PHONE
CENTRAL
IP PBX Alcatel
INTERNAL PHONE
Exchange Mail
Active Directory
MOBILE
Intranet
Phase 1: ibrid system toward the UC FULL IP
Telefono pubblico
Centrale telefonica Pubblica
Telefono interno
Exchange
Mail e VoiceMail
Active Director
y
VoIP Gateway
Cellulare
Internet
Intranet
Cellulare
Lync 2010
Lync 2010 Edge
IP PBX Alcatel
WHAT DOES IT MEAN SWITCH TO VOIP:
SERVICE COST/YEAR IN 2009 COST/YEARS AT CONCLUSION OF
PHASE 2
SAVING/YEAR
MAINTENANCE TRADITIONAL VOICE 111.932,80 35.000,00 76.932,80
CDN FEES 24.260,00 0 24.260,00 RTG, PRA, BRA FEES 58.072,32 29.036,16 29.036,16
TOTALI 194.265,12 64.036,16 130.228,96